Jacqueline Martin-Rodriguez, LMT, LPN, MLD-C

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA-49923 Issued in FL

Practice address

3837 N Econlockhatchee TRL Ste 110
Orlando, FL 32817-1600

Phone

(800) 289-3088

NPI assigned

Aug 23, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Modalities, LLC

  • Massage Therapist
  • Orlando, FL
  • NPI 1477272029

  Licensed Practical Nurse

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1962121012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18739 NATCHEZ ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328334108",
            "telephone_number": "800-289-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3837 N ECONLOCKHATCHEE TRL STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171600",
            "telephone_number": "800-289-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-RODRIGUEZ",
        "first_name": "JACQUELINE",
        "credential": "LMT, LPN, MLD-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN-1290081",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA-49923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markenta Martial
• Joan Martich Bickerton, MD
• Gisselle Marticorena
• Maily Merlyn Martin Carmenates
• Teresa Martin-Carreras, M.D.
• Amberly R Martin, FNP-BC
• Andrew S Martin, MD
• Bria Martin, LMHC, MA, BS
• Briggitte Martin
• Brittany Nicole Martin

• Massage Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.